| NPI | 1588021455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BCBA 1-14-15070) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91425) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |